Organization Active NPI

Amicus Medical Center LLC

  • Internal Medicine Physician
  • Stuart, FL
National Provider Identifier
1033488382
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AMICUS MEDICAL CENTER LLC
Practice address
1951 NW Federal Hwy
Stuart, FL 34994
Phone
(954) 505-5000
NPI assigned
Dec 15, 2011
Organization subpart
Yes
Parent organization
AMICUS MEDICAL GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Marie Bonetti
Title
Associate Director
Phone
(305) 500-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1951 NW Federal Hwy
Stuart, FL 34994

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other practice location 1

4601 N Congress Ave
West Palm Beach, FL 33407-3381
Phone (561) 844-4353

Other practice location 2

750 E Sample Rd
Pompano Beach, FL 33064-5144
Phone (954) 943-8737

Other practice location 3

480 N State Road 7
Plantation, FL 33317-2834
Phone (954) 791-9580

Other practice location 4

12177 Pembroke Rd
Pembroke Pines, FL 33025-1727
Phone (954) 436-0555

Other practice location 5

3471 N Federal Hwy
Ft Lauderdale, FL 33306-1019
Phone (954) 630-0311

Other practice location 6

1800 W Hillsboro Blvd
Deerfield Beach, FL 33442-1484
Phone (954) 428-3500

Other practice location 7

1500 E Hillsboro Blvd
Deerfield Beach, FL 33441-4355
Phone (954) 428-1771

Other practice location 8

1979 W Hillsboro Blvd Ste 1
Deerfield Beach, FL 33442-1444
Phone (954) 428-4800

Other practice location 9

1501 Corporate Dr
Boynton Beach, FL 33426-6600
Phone (561) 369-4255

Other practice location 10

9980 Central Park Blvd N Ste 126
Boca Raton, FL 33428
Phone (561) 369-7137

Other practice location 11

7593 Boynton Beach Blvd
Boynton Beach, FL 33437-6154
Phone (561) 364-4840

Other practice location 12

135 S Pompano Pkwy
Pompano Beach, FL 33069-3003
Phone (954) 974-8901

Other practice location 13

9980 Central Park Blvd N Ste 126
Boca Raton, FL 33428
Phone (561) 369-7137

Other practice location 14

321 W Atlantic Blvd Ste 102
Pompano Beach, FL 33060-6048
Phone (954) 781-3122

Other practice location 15

3795 W Boynton Beach Blvd Ste D
Boynton Beach, FL 33436-4502
Phone (561) 738-7900

National Provider Directory

National Provider Directory

Locations

1501 Corporate Dr
Boynton Beach, FL 33426
Phone (561) 369-4255

7593 W Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 354-4840

1601 S Congress Ave
#B
Delray Beach, FL 33445
Phone (561) 276-8444

1483 S Congress Ave
Delray Beach, FL 33445
Phone (561) 276-8444

3471 N Federal Hwy
Ft Lauderdale, FL 33306
Phone (954) 630-0311

480 N State Road 7
Plantation, FL 33317
Phone (954) 791-9580

2100 45th St
Ste B24
West Palm Beach, FL 33407
Phone (561) 844-4353

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1033488382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 NW FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "954-505-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4601 N Congress Ave",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334073381",
            "country_code": "US",
            "telephone_number": "561-844-4353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 E Sample Rd",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330645144",
            "country_code": "US",
            "telephone_number": "954-943-8737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "480 N State Road 7",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333172834",
            "country_code": "US",
            "telephone_number": "954-791-9580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12177 Pembroke Rd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330251727",
            "country_code": "US",
            "telephone_number": "954-436-0555",
            "fax_number": "954-436-0108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3471 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333061019",
            "country_code": "US",
            "telephone_number": "954-630-0311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 W Hillsboro Blvd",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334421484",
            "country_code": "US",
            "telephone_number": "954-428-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 E Hillsboro Blvd",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334414355",
            "country_code": "US",
            "telephone_number": "954-428-1771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1979 W Hillsboro Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334421444",
            "country_code": "US",
            "telephone_number": "954-428-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334266600",
            "country_code": "US",
            "telephone_number": "561-369-4255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9980 Central Park Blvd N Ste 126",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "33428",
            "country_code": "US",
            "telephone_number": "561-369-7137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7593 Boynton Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334376154",
            "country_code": "US",
            "telephone_number": "561-364-4840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 S Pompano Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330693003",
            "country_code": "US",
            "telephone_number": "954-974-8901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9980 Central Park Blvd N Ste 126",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "33428",
            "country_code": "US",
            "telephone_number": "561-369-7137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 W Atlantic Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330606048",
            "country_code": "US",
            "telephone_number": "954-781-3122",
            "fax_number": "954-781-0860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3795 W Boynton Beach Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334364502",
            "country_code": "US",
            "telephone_number": "561-738-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMICUS MEDICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMICUS MEDICAL GROUP, INC",
        "enumeration_date": "2011-12-15",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "BONETTI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "305-500-2000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.